Run YMCA Aquatics Emergency Action Plan Drill Evaluation — Free

Drill Setup and Identification

Drill date and start time

Record the exact date and time the drill scenario was initiated.

Pool / aquatic area evaluated

Identify the specific pool or aquatic zone where the drill was conducted (e.g., Main Pool, Therapy Pool, Splash Pad).

Drill type

Select the scenario type used for this drill.

Number of lifeguards on duty during drill

Record the total number of active lifeguards on station at drill initiation.

Evaluating supervisor / observer name

Name of the aquatics supervisor or certified evaluator conducting this drill assessment.

Victim Recognition and Lifeguard Activation

Lifeguard recognized the distressed victim within 30 seconds of scenario initiation critical (required)

The responding lifeguard identified the victim and signaled recognition (whistle, stand, or verbal) within 30 seconds. Record actual recognition time in comments.

Yes No N/A

Actual victim recognition time (seconds)

Record the elapsed time in seconds from scenario initiation to lifeguard recognition signal.

Lifeguard activated the EAP immediately upon recognition (whistle signal, verbal alert, or activation device) critical (required)

Lifeguard used the facility-designated EAP activation method without delay. Acceptable methods include three short whistle blasts, intercom, or emergency button per the facility EAP.

Yes No N/A

Backup lifeguard(s) assumed zone coverage immediately upon primary guard entering the water

Secondary lifeguard(s) repositioned to cover vacated zones within 15 seconds of primary guard's entry, per the facility EAP zone coverage protocol.

Yes No N/A

911 / EMS notification initiated within 2 minutes of EAP activation critical (required)

A designated staff member called 911 (or confirmed EMS was not needed per scenario type) within 2 minutes. Reference: OSHA 29 CFR 1910.151(b) — employer must ensure prompt medical attention.

Yes No N/A

Patron/bystander crowd control was established to keep the pool deck clear

Staff directed patrons away from the emergency area to allow unobstructed access for responders.

Yes No N/A

Victim Retrieval and In-Water Rescue

Responding lifeguard entered the water within 10 seconds of EAP activation critical (required)

Time from EAP activation signal to lifeguard water entry. Record actual entry time in comments.

Yes No N/A

Actual water entry time from EAP activation (seconds)

Record elapsed seconds from EAP activation to lifeguard entering the water.

Lifeguard retrieved and used a rescue tube or appropriate rescue device before entering the water critical (required)

Lifeguard grabbed a rescue tube, reaching pole, or other facility-designated rescue device prior to or during water entry. Entering without equipment is a critical deficiency.

Yes No N/A

Rescue approach technique was appropriate for the scenario (front, rear, or submerged approach)

Lifeguard used the correct approach angle and technique for the victim's position and condition, minimizing risk of being grabbed or submerged.

Victim was removed from the water in a controlled manner without causing additional injury critical (required)

Extraction was performed using a two-person lift, backboard, or appropriate technique. For spinal scenarios, in-line stabilization was maintained throughout.

Yes No N/A

Total victim retrieval time from water entry to poolside placement (seconds)

Record elapsed time from lifeguard water entry to victim being placed on the pool deck in a position ready for assessment.

CPR Initiation and Emergency Care

Victim responsiveness and breathing assessed immediately upon poolside placement critical (required)

Lifeguard checked for responsiveness (tap and shout) and breathing (look, listen, feel) within 10 seconds of victim placement on the deck.

Yes No N/A

CPR initiated within 60 seconds of victim removal from the water critical (required)

Chest compressions began within 60 seconds of victim being placed on the pool deck. Record actual CPR initiation time in comments.

Yes No N/A

Actual CPR initiation time from victim removal (seconds)

Record elapsed seconds from victim placement on pool deck to first chest compression.

Chest compression rate was approximately 100–120 compressions per minute

Evaluator observed or counted compression rate. AHA guidelines specify 100–120 cpm for adult CPR. Note observed rate in comments.

Yes No N/A

Chest compression depth appeared adequate (approximately 2–2.4 inches for adults)

Evaluator assessed compression depth visually. Full recoil between compressions was observed.

Yes No N/A

AED retrieved and applied within 3 minutes of CPR initiation critical (required)

A second responder retrieved the AED and applied pads within 3 minutes. AED location must be accessible per OSHA 29 CFR 1910.151 and facility EAP. Note if AED was not indicated for the scenario.

Yes No N/A

Rescue breaths were delivered at correct ratio (30:2 for single rescuer; 15:2 for two-rescuer pediatric)

Compression-to-ventilation ratio matched the victim profile and rescuer count per current YMCA/AHA protocol.

Yes No N/A

CPR quality rating (overall)

Evaluator's holistic rating of CPR quality including rate, depth, recoil, and ventilation.

Communication and Team Coordination

Clear verbal role assignments were made during the emergency (e.g., 'You — call 911', 'You — get the AED')

A team leader or senior lifeguard directed specific tasks to named or pointed-to individuals, avoiding diffusion of responsibility.

Yes No N/A

Front desk / facility manager was notified of the emergency

A staff member notified the facility manager or front desk per the EAP notification chain within the drill scenario.

Yes No N/A

EMS handoff communication was clear and included victim status, age, and interventions performed

When EMS arrived (or was simulated), the handoff included: victim's age/size, time of incident, interventions performed, and number of AED shocks delivered (if any).

Yes No N/A

Communication was calm, clear, and audible throughout the drill

Evaluator observed no shouting over each other, no confusion about roles, and no significant communication breakdowns.

Pool was cleared of patrons in a timely and orderly manner

All patrons exited the water promptly upon EAP activation without panic or confusion, and the pool deck was kept clear for responders.

Yes No N/A

Equipment Readiness and Accessibility

Rescue tubes were fully inflated, unobstructed, and at each lifeguard station critical (required)

Each active lifeguard station had a rescue tube immediately accessible. Tubes were free of damage and properly inflated.

Yes No N/A

Photo evidence (optional)

AED unit was present, charged, and accessible within the pool area critical (required)

AED was mounted in its designated location, indicator light was green/ready, and pads were within expiration date.

Yes No N/A

Backboard with head immobilizer and straps was accessible on the pool deck

Spinal backboard was stored within 30 seconds of the pool edge, with all straps and head immobilizer present and functional.

Yes No N/A

First aid kit was stocked and accessible on the pool deck

First aid kit was present, sealed or recently inventoried, and contained gloves, CPR mask/shield, and basic wound care supplies. Reference: OSHA 29 CFR 1910.151(b).

Yes No N/A

Emergency phone or communication device was functional and immediately accessible critical (required)

Landline, intercom, or mobile device designated for emergency calls was tested and operational at the time of the drill.

Yes No N/A

Post-Drill Debrief and Documentation

Overall drill outcome

Select the evaluator's overall assessment of the drill performance.

Note (optional)

Key strengths observed during the drill

Describe 1–3 specific actions or behaviors the team performed well. Be specific and observable (e.g., 'Guard #2 retrieved AED in 45 seconds without prompting').

Primary deficiencies or areas requiring corrective action

List each deficiency identified, referencing the specific EAP step or standard not met. Assign a responsible party and target correction date.

Post-drill debrief was conducted with all participating lifeguards within 30 minutes

Evaluator confirmed that a structured debrief covering timeline, deficiencies, and corrective actions was held with the drill participants.

Yes No N/A

Re-drill required before next public aquatics session?

If critical deficiencies were identified, a re-drill must be scheduled and completed before the facility reopens to patrons.

Yes No N/A

Drill documentation photo (optional)

Attach a photo of the drill in progress or the completed paper evaluation form for record-keeping.

Evaluator signature

Aquatics supervisor or evaluator signature certifying the accuracy of this drill evaluation.

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Run: YMCA Aquatics Emergency Action Plan Drill Evaluation

Drill Setup and Identification

Victim Recognition and Lifeguard Activation

Victim Retrieval and In-Water Rescue

CPR Initiation and Emergency Care

Communication and Team Coordination

Equipment Readiness and Accessibility

Post-Drill Debrief and Documentation

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